NPIMap

Individual provider Active NPI

Ambar M Patel, M.D.

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1366649758
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME114863 Issued in FL
Practice address
655 W 8TH St
University of Florida Cardiovascular Center
Jacksonville, FL 32209-6511
Phone
(904) 244-3066
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 002440 GA
Cardiovascular Disease Physician 207RC0000X ME114863 FL Primary

Addresses

Primary practice location

655 W 8TH St
University of Florida Cardiovascular Center
Jacksonville, FL 32209-6511

Mailing address

655 W 8TH St
University of Florida Cardiovascular Center
Jacksonville, FL 32209-6511
Phone (904) 244-3066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000313 FL Practitioner - Cardiovascular Disease (Cardiology) 3779725569 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1658 St Vincent's Way
Middleburg, FL 32068-8431

1699 S 14TH St
Fernadina Beach, FL 32034-1964

1801 Barrs St
Suite 120
Jacksonville, FL 32204-4738
Phone (904) 308-2006

2300 Park Ave
Orange Park, FL 32073-5572

2345 Forbes St
Jacksonville, FL 32204-4311
Phone (904) 381-9994

300 Saint Elizabeth Way
Saint Johns, FL 32259-1153

4205 Belfort Rd
Jacksonville, FL 32216-1471
Phone (904) 296-0278

4205 Belfort Rd
Suite 2065
Jacksonville, FL 32216-1473
Phone (904) 296-2631

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002440GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Cardiovascular Disease CurrentSince Aug 16, 2013 Accepting new patients
Cardiology Interpreters Inc CurrentSince Apr 8, 2015 Accepting new patients
St Vincent's Full Service Urgent Care, LLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

7963 Normandy Blvd
Jacksonville, FL 32221
Phone (904) 379-1203

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

Interoperability endpoints

  • Direct secure messaging: ambar.patel.1@8967.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1366649758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "address_2": "UNIVERSITY OF FLORIDA CARDIOVASCULAR CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "address_2": "UNIVERSITY OF FLORIDA CARDIOVASCULAR CENTER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMBAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "002440",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME114863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.